Individual
VINCENT J BOBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
426 AIRPORT RD, HAZLE TOWNSHIP, PA 18202-3361
(570) 450-0870
(570) 450-0874
Mailing address
PO BOX 517, HAZLETON, PA 18201-0517
(570) 450-0870
(570) 450-0874
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS005672L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011443820002
—
PA
Enumeration date
02/22/2006
Last updated
10/19/2022
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